论文部分内容阅读
目的调查研究救援军人创伤后应激障碍(post-traumatic stress disorder,PTSD)阳性检出率及其心理社会影响因素,探索针对救援部队的PTSD预防措施。方法从汶川地震救援部队整群抽取2600名军人,采用创伤后应激障碍评定量表(PCL-S)对救援军人的PTSD症状进行评定,采用自制救援军人一般情况问卷、军事群体应激预警检测问卷(ATQMGS)、状态-特质焦虑清单分析救援军人PTSD的影响因素。结果救援军人中PTSD阳性检出71例,阳性率为2.9%;以人口学资料分组差异检验显示,不同职别、救援持续时间、家庭结构、创伤史、精神问题史和救援中伤病史的救援军人,PTSD症状差异显著;初始暴露强度不同的救援军人,PTSD症状差异不显著;PTSD症状与特质焦虑、士气、自我效能呈显著正相关,与领导支持、控制感、晋升动机、任务认知、单位归属感、岗位价值感呈显著负相关;多元线性回归分析显示,特质焦虑、领导支持、创伤史、控制感、精神问题史、救援中伤病史、救援持续时间、职别是救援军人PTSD症状的主要影响因素。结论与以往研究相比,此次救援军人的PTSD阳性检出率处于更低水平;职别、家庭结构、创伤史、救援持续时间、精神问题史、救援中伤病史以及特质焦虑、士气、自我效能、领导支持、控制感、晋升动机、任务认知、单位归属感、岗位价值感等因素与救援军人PTSD症状均相关;PTSD症状的主要影响因素有:特质焦虑、领导支持、创伤史、控制感、精神问题史、救援中伤病史、职别、救援持续时间。初始暴露强度不是救援军人PTSD发生的决定因素。
Objective To investigate the positive detection rate of post-traumatic stress disorder (PTSD) and its psychological and social factors in rescue workers and explore the PTSD preventive measures against the rescue force. Methods A total of 2,600 military personnel were recruited from the Wenchuan Earthquake Relief Force and the PTSD symptom of the rescue workers were assessed using the PCL-S. The general situation of the self-made rescue workers, Questionnaire (ATQMGS), State-Trait Anxiety Inventory Analysis of Influencing Factors for Rescue Service PTSD. Results The positive rate of PTSD among rescue workers was 71%, and the positive rate was 2.9%. According to demographic data, the differences among different ranks, rescue duration, family structure, trauma history, mental problems and the history of rescue and injury cases There was a significant positive correlation between PTSD symptoms and trait anxiety, morale and self-efficacy, and there was no significant correlation between PTSD symptoms and leadership support, control, promotion motivation, task perception , Unit sense of belonging and job value were negatively correlated. Multivariate linear regression analysis showed that trait anxiety, leadership support, trauma history, sense of control, history of mental problems, history of rescue and injury, duration of rescue, The main influencing factors of PTSD symptoms. Conclusions Compared with the previous studies, the positive rate of PTSD was lower than that of the previous study. Occupational status, family structure, trauma history, duration of rescue, history of mental illness, history of rescue injury, trait anxiety, morale, Factors such as self-efficacy, leadership support, sense of control, motivation for promotion, task cognition, sense of belonging, sense of job value and other factors were all related to PTSD symptoms in servicemen. PTSD symptoms were mainly related to trait anxiety, leadership support, A sense of control, a history of mental problems, a history of rescuing a wounded, a job title, and a rescue duration. Initial exposure intensity is not a determinant of PTSD in rescue workers.